Thanks for the update.
I’m in the same situation as you are, although I haven’t used oral metronidazole. I’m currently only using Soolantra for a while. My skin has improved a lot since the use of it:
-hardly any itch anymore.
-I still get new lesions but a lot less severe and less often.
I’m able to do go outside, meet people without having to worry about oozing lesions like I used to do.
But like you, I’m also suspicious about the future.
I have just created a Soolantra thread here: Soolantra